The record

Where automated decisions went wrong

Incidents gathered from public reporting around the world. Each one links to the articles it came from. None of it is a finding that anyone broke the law.

Reports people file about their own experience are not shown here and never will be without their agreement. Tell us what happened to you.

Clear

45 incidents closest to “Clinical Notes” · matched on meaning · public reporting

WF-4DB49L1 Jan 2026

ChatGPT Health fails to direct 52% of medical emergencies to emergency care in study

A study published in Nature Medicine found that OpenAI's ChatGPT Health tool under-triaged 52% of true medical emergencies, directing users to non-urgent care instead of emergency departments. The AI also misclassified 35% of non-urgent cases. Researchers at Mount Sinai conducted 960 tests across 60 clinical scenarios, noting the tool's susceptibility to anchoring bias when symptoms were minimized. The study highlights potential safety concerns as millions use AI for health guidance.

Company involved
OpenAI
AI system involved
ChatGPT Health

4 source articles · read the reporting →

WF-KA8YYL1 Sep 2024

AI transcription tool Otter.ai causes health data breach at Ontario hospital

A former physician at an Ontario hospital installed the Otter.ai transcription tool and gave it access to his digital calendar. Because his personal email was still on a meeting invite list, the AI agent autonomously joined a virtual hepatology round, transcribed it, and emailed the summary and transcript to 65 recipients. The transcript contained sensitive personal health information of seven patients. The hospital reported the breach to the Ontario IPC, took steps to contain it, and is implementing further safeguards.

Company involved
Unnamed hospital in Ontario
AI system involved
Otter.ai

6 source articles · read the reporting →

WF-9UQE2Q1 Jan 2019

Clinical algorithm showed racial bias in health care recommendations

In 2019, a study revealed that a clinical algorithm used by many hospitals to identify patients needing extra care was racially biased. Black patients had to be significantly sicker than white patients to be recommended for the same care, due to the algorithm being trained on historical health care spending data that reflected racial disparities. The bias was eventually detected and corrected, but the incident raised concerns about the potential for AI to worsen medical racism.

5 source articles · read the reporting →

WF-7HYWB51 Jan 2022

Acclarent's AI-Powered Surgery Tool Allegedly Injures Patients, Lawsuits Claim

Two patients allege that Acclarent's TruDi Navigation System, which uses AI to confirm device positioning during sinus surgery, misled surgeons and caused severe injuries including strokes. The FDA has received over 100 reports of malfunctions and at least ten injuries since AI was added. Lawsuits claim the company rushed the technology to market with only 80% accuracy, making the device less safe than before. Acclarent denies any causal connection, and the cases are ongoing.

Company involved
Acclarent
AI system involved
TruDi Navigation System

2 source articles · read the reporting →

WF-48XBG81 May 2025

Deloitte report for N.L. healthcare contains likely AI-generated false citations

Newfoundland and Labrador's $1.6 million Health Human Resources Plan, authored by Deloitte, contains at least four citations to research papers that do not exist, likely generated by artificial intelligence. The errors were discovered after the report was published by the Department of Health and Community Services in May. Researchers named in the false citations confirmed their work was misattributed and the papers are nonexistent. The provincial government and Deloitte have not responded to questions about the report.

Company involved
Deloitte
AI system involved
Azure OpenAI

3 source articles · read the reporting →

WF-A5KN2K6 May 2024

Google's Med-Gemini AI Hallucinates Non-Existent Body Part in Brain Scan

In a 2024 research paper, Google's Med-Gemini AI model generated a radiology report diagnosing an 'old left basilar ganglia infarct', a non-existent body part conflating the basal ganglia and basilar artery. The error was not caught by Google before publication. After a neurologist flagged the mistake, Google quietly edited a blog post to correct the term, calling it a typo, but the research paper remains unchanged. Experts warn that such hallucinations pose significant risks if doctors fail to notice them in clinical settings.

Company involved
Google
AI system involved
Med-Gemini

1 source article · read the reporting →

WF-4DGQE71 Jan 2022

Acclarent's AI-Powered Surgery Tool Allegedly Injures Patients, Lawsuits Claim

The TruDi Navigation System by Acclarent, which uses AI to confirm device positions during sinus surgery, has been linked to at least ten patient injuries including strokes, according to FDA reports and two lawsuits. Plaintiffs Erin Ralph and Donna Fernihough allege that the AI was inaccurate and misled surgeons, causing carotid artery damage and strokes in 2022. Acclarent denies the allegations, stating there is no credible evidence of a causal connection. The lawsuits are ongoing.

Company involved
Acclarent
AI system involved
TruDi Navigation System

2 source articles · read the reporting →

WF-NTWIEE6 Feb 2024

New York lawyer faces discipline for citing ChatGPT-fabricated case in appeal

New York attorney Jae Lee cited a fabricated case in an appeal to revive a client's medical malpractice lawsuit against a Queens doctor. The case was suggested by ChatGPT and did not exist. The court dismissed the case and referred Lee to the grievance panel for further investigation. Lee stated there was no bad faith, but the court found her conduct fell below basic obligations of counsel.

Company involved
JSL Law Offices
AI system involved
ChatGPT

5 source articles · read the reporting →

WF-ZZHCAE1 Jun 2017

IBM Watson for Oncology recommended unsafe cancer treatments

Internal IBM documents reveal that its Watson for Oncology system often provided erroneous cancer treatment advice, including 'multiple examples of unsafe and incorrect treatment recommendations'. The problems were attributed to training on a small number of synthetic cases and the expertise of a few specialists rather than real patient data or established guidelines. The system was promoted to hospitals and physicians worldwide. It is unclear whether any patients were harmed as a result.

Company involved
IBM
AI system involved
Watson for Oncology

2 source articles · read the reporting →

WF-HHAQBE4 Jul 2025

Microsoft Copilot Audit Log Flaw Left Customers Unaware

A vulnerability in Microsoft 365 Copilot allowed users to access files without the access being recorded in audit logs, potentially enabling malicious insiders to exfiltrate data undetected. The flaw, discovered by Pistachio's CTO, was reported to Microsoft in July 2025 and fixed in August, but Microsoft decided not to issue a CVE or notify customers. The vulnerability could be triggered accidentally, meaning many organisations' audit logs may be incomplete. Microsoft classified the issue as 'important' but faced criticism for its lack of transparency.

Company involved
Microsoft
AI system involved
M365 Copilot

1 source article · read the reporting →

WF-9B50OB2 Jun 2025

In re Marla C. Martin (N.D. Illinois (Bankruptcy)): AI-hallucinated content in court filing, Sanction of $5,500 and mandatory AI education

Generated fake case citations used in a legal brief, misleading the court and opposing parties.

Company involved
Semrad
AI system involved
ChatGPT

1 source article · read the reporting →

WF-PZRPZR1 Jan 2017

Royal Free London publishes audit into Streams app data processing

The Royal Free London NHS Foundation Trust published an audit into its use of the Streams app, following an investigation by the Information Commissioner's Office (ICO) in July 2017. The Streams app alerts clinicians to patients at risk of acute kidney injury. The audit, conducted by Linklaters, concluded that the trust's use of Streams was lawful and complied with data protection laws, although areas for improvement were identified. The ICO later recognised that the trust had completed all required actions.

Company involved
Royal Free London NHS Foundation Trust
AI system involved
Streams

10 source articles · read the reporting →

WF-ZY89TF9 Sep 2024

Anonymous Spanish Lawyer (Tribunal Constitucional): AI-hallucinated content in court filing, Formal Reprimand (Apercibimiento) + Referral to Barcelona Bar for Disc

The AI system generated hallucinated content that was submitted in a court filing, potentially misleading the court.

1 source article · read the reporting →

Babylon Health attacks clinician who raised safety concerns about its AI chatbot

Dr David Watkins, a consultant oncologist, publicly raised concerns about Babylon Health's symptom triage chatbot, alleging it missed critical conditions such as heart attacks in women. Babylon Health issued a press release attacking Watkins as a 'troll' and manipulating data to discredit his testing. Watkins denies the claims and has filed complaints with the MHRA, which remain pending.

Company involved
Babylon Health

6 source articles · read the reporting →

Nurse at St. Rose Dominican Hospital Averts AI-Sepsis Alert Error

A nurse at St. Rose Dominican Hospital in Henderson, Nevada, refused to follow an AI-generated sepsis alert that would have given an elderly dialysis patient IV fluids, which could have caused a life-threatening complication. The alert, part of the hospital's electronic system, prompted a charge nurse to order the fluids despite the patient's compromised kidneys. A physician intervened and ordered dopamine instead, averting harm. The incident highlights concerns about AI tools overriding clinical judgment.

Company involved
St. Rose Dominican Hospital

1 source article · read the reporting →

WF-QYREZ423 Oct 2023

Morgan v. Community Against Violence (D. New Mexico): AI-hallucinated content in court filing, Partial Dismissal + Judicial Warning

The AI generated fake legal citations that were filed in court, wasting the court's and opposing party's time and resources.

1 source article · read the reporting →

WF-IEF40C23 Sep 2025

Sentenza del 23.09.2025 (Tribunale di Latina): AI-hallucinated content in court filing, Monetary Sanction

The AI-generated court filing contained fabricated case law, leading to a monetary sanction against the party represented by the lawyer.

1 source article · read the reporting →

WF-JR9HJC18 Feb 2025

Unnamed Brazilian litigant (): AI-hallucinated content in court filing, Appeal partially granted (reintegration suspended, rent imposed), but

AI-generated fake court precedents were included in a legal appeal, leading to sanctions against the litigant for bad-faith litigation.

AI system involved
ChatGPT

1 source article · read the reporting →

WF-PWRNUQ2 Oct 2025

The People v. Raziel Ruiz Alvarez (CA California): AI-hallucinated content in court filing, Published order; monetary sanction payable by Counsel…

The AI generated fabricated legal citations that were included in a court filing, affecting the defendant's legal representation and the court's resources.

Company involved
Attorney Siddell

1 source article · read the reporting →

WF-ILB6X17 Jul 2026

Recurso de Suplicación 0005472/2025 (T.S.X. Galicia): AI-hallucinated content in court filing, Bar Referral

The AI generated false legal citations that were included in a court filing, misleading the court and potentially harming the client's case.

1 source article · read the reporting →

WF-NC8W6123 Jun 2026

Landberg v City of New York (CA NY (2d)): AI-hallucinated content in court filing, Monetary Sanction

AI-generated fake legal citations were included in a court filing, resulting in monetary sanctions against the attorney and his law firm.

1 source article · read the reporting →

WF-YRYXUP28 Aug 2026

Erin Booker v. The Kroger Co. (N.D. Georgia): AI-hallucinated content in court filing, Monetary Sanctions; CLE

The court imposed monetary sanctions and continuing legal education requirements on plaintiff's counsel for using AI-generated fake legal authorities in a court filing.

1 source article · read the reporting →

WF-M3PW5F27 Aug 2026

Thomas Raynard James v. Detective Kevin Conley, et al. (S.D. Florida): AI-hallucinated content in court filing, Bar Referral

AI generated hallucinated content in a court filing, affecting the legal process and the lawyers who filed it.

1 source article · read the reporting →

WF-LKR1LN18 Aug 2026

Joann LeDoux v. Outliers, Inc. (2) (W.D. Washington): AI-hallucinated content in court filing, Expert Brief excluded/struck

The AI-generated hallucinated citations in an expert report led to the exclusion of the expert and dismissal of the plaintiff's case.

1 source article · read the reporting →

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